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Keep Your Skin Looking Younger by Eating the Right Foods – Part 1

Eating specific foods isn’t going to make you look noticeably younger overnight. However, nutrition is one of the key aspects of aging well. What goes on your plate can affect what you see in the mirror down the road. This may sound intense, but your diet has a huge impact on how you feel and look as you get older. It is important to note that the quantity of food also plays an important role in our aging outcome. Healthy overeating can still create stress for the body. The idea is to eat clean, while also consuming reasonable proportions.

Avoid Foods That Accelerate the Aging of Your Skin

The key approach to keeping your body health and your skin youthful starts with eating better. Poor-quality foods can keep our bodies in an “inflammatory state”. Below are foods to limit when assessing the quality of foods that you put into your body.

Fatty Carbs

Foods that are deep-fried contain an excessive amount of oil which adds to inflammation in your body. Not only do these foods affect how you look, but they also greatly impact blood tests. Trans fats can negatively affect your diagnostic results – raising your LDL cholesterol and lowering your HDL. LDL, also known as low-density lipoprotein, is sometimes coined as “bad cholesterol” which raises your risk of heart disease and strokes. HDL (high-density lipoprotein), on the other hand, absorbs cholesterol and carries it back to the liver, minimizing these health risks.

Not only do these foods affect our internal health, but they play a role in the aging process on the outside of the body. Consumption of these types of fats and oils in foods will also result in premature aging and wrinkles. As these types of food impact your cardiovascular system, blood flow to your skin is weakened. In addition, your liver can experience strain as toxins build up and are no longer broken down properly. As a result, your skin will experience negative results as well including loss of collagen, loss of elasticity, acne, excess wrinkles, redness, dehydration, and puffiness.

Favorite fatty carbs include

  • Potato Chips
  • Many crackers and such in the snack isle
  • French Fries
  • Onion Rings
  • Anything breaded and deep fried

To avoid foods high in fatty carbs, check the food labels on items such as crackers and baked goods. It is beneficial to avoid “partially hydrogenated oils” and “vegetable shortening” labeled ingredients. At home, substitute healthy oils like coconut, avocado, and olive oil. When you are out avoid deep fried entrees and look for broiled or grilled alternatives.

Processed Foods

Processed foods often contain high levels of saturated fats, which can also negatively impact your body’s cholesterol. Again, this can really affect the health of your skin due to a reduction in blood flow. Meats that are “processed” contain  nitrates and saturated fats, which contribute greatly to inflammation. Processed meats can also contain harmful chemicals, even known carcinogens which are linked to cancer. Excess inflammation in the body is directly related to pre-mature aging and excess wrinkling of the skin.

The harmful chemical compounds present in are not present in fresh meat. It is a good idea to purchase meats that are on the “leaner” side. Great lean options include meats like turkey breast, chicken breast, and tenderloins. When cooking with ground beef, selecting items that are at least 95% lean is advised and grass fed meat is best. Here are the processed meats that are best to stay away from.

  • Bacon – I know. On occasion, you can get “Uncured Bacon” which is cured with salt and celery instead of nitrates.
  • Hot Dogs
  • Pepperoni
  • Deli Meat – Some deli meats like Boar’s Head have fewer chemicals and nitrates
  • Sausage – Consider making your own from fresh meat and spices you have in your cupboard. You might even get your butcher to grind the meat for you.
  • Pizza – Especially when loaded with the above meats

Processed foods are often high in processed salts, which will age your body and skin faster. Therefore, consuming processed foods causes your body to retain  water, becoming bloated and actually dehydrated. Processed meats also reduce the production of vitamin C in the body. In turn, your skin is typically drier, much less healthy, and more prone to wrinkles.

White Bread

Many people understand that it is beneficial to our bodies to avoid foods high in carbohydrates, including all bread. When you do choose to eat bread, we recommended a whole grain or whole wheat option over white bread. White bread in particular is worse for your body than you may think. It may not seem much different from the other options, but white bread is higher in additives and is far more processed than the alternatives. A diet that regularly includes white bread can result in high blood pressure, obesity, heart attacks, memory issues, and strokes.

With these health issues and added inflammation to the body, the aging process is considerably accelerated. Your skin’s collagen is compromised by eating foods high in carbohydrates. To keep your skin “springy” and wrinkle-resistant, be sure to avoid high-carb foods such as white bread.

Sugar

Sugar is linked to an increased risk for heart attack and stroke. The effects of added sugar include high blood pressure, diabetes, weight gain, fatty liver disease, and inflammation. Sugar can also be linked aged skin and wrinkling.

When we consume added sugar, we mess with our collagen molecules, causing our skin to lose its elasticity. Sugar can also result in acne, sagging skin around the neck and chin, and initiate dark spot development. Cuts and scars are slower to heal when sugar is present in the body. Below are added sugars that we should avoid in our diets.

  • White Sugar
  • Sugary Cocktails
  • Donuts and Sugary Pastries
  • Soda
  • Cereal

There is, however, a difference between total sugar and added sugar. Total sugar is the sugar that you get from squeezing an orange, whereas added sugar is adding a packet of sugar to that juice. These sugars can add flavor or even extend the “shelf” life of certain foods.

Alcohol

It is said that moderate drinking may offer some health benefits. These potential drinking perks are relatively small and may not apply to every individual. It should be noted that avoiding alcohol altogether may be the best route and therefore no one should begin drinking based on potential health benefits. In the instance that an individual is healthy and already drinks moderately, it is considered acceptable in terms of health.

Moderate drinking means consuming one drink a day for a woman or two drinks a day for a man. One drink includes 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of distilled spirits. There are severe health risks associated with heavy consumption of alcohol.

  • Cancer
  • Heart Damage
  • Stroke
  • Liver Disease
  • High Blood Pressure
  • Pancreatitis
  • Weakened Immune System
  • Alcohol withdrawal syndrome

Any of the above medical conditions takes a toll on the body and will result in accelerated aging. In addition, alcohol is very dehydrating to the skin and body. Overconsumption of it can deprive our skin of the moisture and nutrients it needs to stay youthful. Therefore, alcohol can negatively affect your skin with an increased appearance of wrinkles, dryness, and sagging skin.

The foods you consume have a major effect on your internal health, the overall health of your skin, and your physical appearance. The above list, although tasty, is not recommended if you want to look and feel your best. The good news is there are some really amazing alternative foods that can actually help your skin stay young and healthy looking. We will cover those next… Stay tuned!

In addition to a good diet, you should also protect your skin while in the sun, and get your skin checked regularly. Contact Lady Lake Dermatology & Mohs Surgery Dermatology & Mohs Surgery for a consultation today.

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How Long Does Mohs Surgery Take & What to Expect

There are three major types of skin cancer—basal cell carcinoma, squamous cell carcinoma, and melanoma. Skin cancer is typically on the scalp, ears, neck, arms, hands, legs, lips, and face. However, it also has the potential to form in areas that don’t receive sunlight. Mohs surgery is used to treat most types of skin cancer including: basal cell carcinoma, squamous cell carcinoma, some kinds of melanoma, and other more unusual skin cancers.

Mohs Surgery is especially useful…

  • for skin cancers which have recurred or naturally have a high risk of recurrence
  • when the skin cancer is located in areas where you want to limit the wounded area and preserve as much healthy tissue as possible – areas on the face, hands, feet, and genitals are most common.
  • when the borders are difficult to identify.
  • for skin cancers that are large or aggressive.

What is Mohs Surgery?

Mohs Surgery is considered the most effective technique for treating these two types of skin cancer today—basal cell carcinoma and squamous cell carcinoma. Mohs surgery has the unique benefit of allowing the surgeon to see where the cancer stops. In this case, the surgeon can keep as much healthy skin as possible. They will work to progressively remove the skin layers until only cancer-free tissue remains. Areas of the body that consist of very little skin to begin with, such as the eyelids, ears, or hands especially benefit from this procedure. Patients are less likely to need additional surgeries in the future because of Mohs high cure rate.

Preparing for Mohs Surgery

  • Inform your surgeon about any medications you are currently taking—It is vital to inform your surgeon about any current medications that you are on. Some medications and supplements can act as blood thinners, which can be dangerous during an operation.
  • Clear your schedule—As stated previously, the extent of cancer is often unknown until the procedure is already taking place. Generally, it can be completed within a few hours. However, surgeons advise that patients clear their schedule with the chance that it lasts for the duration of the day.
  • Wear comfortable clothing—It is advantageous to wear comfortable clothing on the day of your operation. Health care rooms are typically set to a lower temperature. Wearing layers allows patients to adjust to the temperature of the room.
  • Bring items to pass time—You can expect to spend some time in the waiting room, as with any other medical procedure. It would be useful to bring a book, magazine or an electronic to pass time.
  • Finding a surgeon— Mohs surgeons have undergone extensive training within the field. Although many dermatologists are licensed to perform the surgery, it is important to know their experience and training within Mohs specifically.

What to Expect:

The surgery is performed in an outpatient basis, within an operating or procedure room. The location will also have a nearby laboratory for the surgeon to examine the layers of tissue in between tissue removal. It is advised for a patient to clear their schedule for the day because most times the extent of cancer is unknown. Unless the location of your tumor requires it, a surgical gown is often not necessary. A local anesthetic will be applied to numb the skin, ensuring that the patient does not experience any discomfort throughout the process.

After the procedure

After Mohs surgery, you and your surgeon will determine how to repair the wound. Depending on the extent of the cancer and your operation, this might include:

  • Allowing the wound heal on its own
  • Close the wound with stitches
  • Taking skin from an adjacent area to cover the wound – referred to as a “skin flap”
  • Grafting skin from another part of the body to cover the wound
  • In extreme cases a referral to a plastic surgeon may be recommended.

Preventing Skin Cancer:

There are ways to protect yourself from the greater likelihood of getting skin cancer.

  • Avoid the strongest sun rays: Excessive sun exposure increases your risk of getting skin cancer, especially if you don’t guard your skin. The hours of 10 a.m. to 3 p.m. pose the greatest risk for sun damage because that is when the sun’s rays are the strongest. Therefore, it would be advantageous to avoid direct sunlight during these times.
  • Wear sunscreen: Wearing sun skin, even on cloudy days is important. It is recommended to wear at least 30 SPF and to reapply as often as 2 hours.
  • Check your skin regularly: It is essential to perform regular skin checks on yourself. Utilizing a mirror when examining your skin can help assess those hard-to-see areas.
  • Visit a professional: In addition to self-checks, an annual visit to a dermatologist is recommended. If you notice any abnormalities or changes in your skin, it is necessary to schedule a visit with a professional as soon as possible.

If you are looking for a specialized Mohs Surgeon, visit our dermatologists in the Villages or Leesburg. Dr. Gurgen worked exclusively as a Mohs Microscopic Surgeon prior to establishing his practice. He is ranked in the top 1% of Mohs Surgeons in the nation. As an award-winning dermatologist and Mohs Surgeon, his goal is to provide his patients with a successful outcome and minimal scarring. You can learn more about Dr. Gurgen and his qualifications here. Contact our office for an appointment today.

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Acne Tips and Prevention

What Causes Acne?

Acne is a skin condition in which hair follicles become clogged. There are a variety of things that cause build-up. Oils and dead skin cells create pimples or zits.

An oil, known as Sebum, typically helps keep the skin from drying out. In healthy cases, this oil empties onto the skin surface through pores. When someone is experiencing breakouts, the sebaceous glands are not able to release this sebum in a healthy way. Keratinocytes are a type of skin cell that rises to the surface of the skin when the body sheds skin cells. When a person is suffering from acne, these shedding skin cells stick together. The dead skin cells and the sebum oil are trapped in the skin. Bacteria forms within the skin and produces inflammation.

People suffering from acne may experience redness, heat, swelling, and even pain, depending on the severity of their condition. Everyone is susceptible to acne – some battle a chronic condition while others experience minor breakouts from time to time. Acne is prevalent amongst teens and young adults. It is more common in teenage males, but it often affects females during earlier stages of life as well. In some cases, it can continue into adulthood. Adult acne is more common among women.

Types of Acne

  • Whiteheads. This occurs when a hair follicle becomes trapped underneath the skin. It appears as a white bump.
  • Blackheads. This condition occurs when follicles reach the surface and open up on the skin. A common misconception is that blackheads get their dark discoloration from being dirty. However, the black appearance is due to the air changing the color of the sebum.
  • Papules. This type of acne is due to inflamed lesions on the skin. Papules can be painful or tender to the touch and they appear as small, pink-colored bumps.
  • Pustules or pimples. When a papule becomes filled with pus, a pimple will form. It is typically red at the base.
  • Nodules. Lesions that form deep within the skin are nodules. Generally, they are painful, solid, and larger than other forms of acne.

Causes of Acne

Acne Prevention and TipsThere are a variety of reasons someone may be suffering from acne. We’ve seen the science behind the skin’s production of excess oil, the buildup of dead skin cells, and bacteria growth, and how it results in acne. But what factors trigger this problem and contribute to this condition?

  • Hormones. Hormones stimulate your skin’s oil glands and play a huge role in acne development. Typically, androgens are thought of as a male hormone. However, females have testosterone as well, just in lower doses. These hormones are what stimulate the glands to produce sebum. Puberty and pregnancy affect hormone levels in the body, often resulting in acne.
  • Genetics. Acne can be hereditary. Researchers and doctors believe that if your parents had acne, you are more likely to get it as well.
  • Medications. Certain medications invoke changes to the body’s hormones, and in turn, create acne.
  • Age. It is no surprise that age affects acne. Many people relate their teen years and puberty to the annoyance of dealing with acne. This is mostly due to changing hormones and often less than ideal diet.
  • Stress. There really is stress acne! Stress typically dries the skin, causing excess oil production. It also alters hormone levels in the body, and when prolonged can change your brain and body chemistry.

Don’t Make Your Acne Worse…

Some factors are not linked to the cause of acne, but certainly affect the severity of it. Researchers are continuing to study the impact that an individual’s diet has on the overall health of their skin. Studies have shown that there are certain foods with negative consequences when it comes to acne. Stress levels and hormone changes go hand in hand. An excessive amount of sudden or prolonged stress can alter the body’s chemistry and hormone levels. Clothing can also make acne worse. Certain items such as sports helmets, tight clothing, and backpacks can worsen its appearance. As one may imagine, irritating the condition can influence the severity of an acne breakout. This includes squeezing, picking, and harsh scrubbing of the skin.

Tips for Preventing or Limiting Acne Breakouts

Although there are instances in which acne is inevitable, there are steps one can take to prevent the likelihood of it. Anyone suffering from acne knows how much of a struggle it can be to have healthy skin. Below are tips one can take to manage their skin’s condition and reduce the occurrence and severity of breakouts:

  • Properly wash your face
  • Educate yourself – know your skin type
  • Moisturize – even if you think your skin is too oily. Water based gel moisturizers are best as they don’t add oil to your skin.
  • Utilize over the counter treatments
  • Hydrate – drink 1/2 your body weight in ounces to stay properly hydrated, more if you participate in vigorous exercise or are exposed to higher temperatures.
  • Limit the makeup you use. Try not to wear it everyday and remove it as soon as you are home for the day.
  • Avoid touching your face
  • Limit sun exposure
  • Avoid irritating the skin – no squeezing or picking at it
  • Tea tree oil is said to have anti-inflammatory and antimicrobial properties that calm redness and swelling associated with acne breakouts.
  • Avoid processed foods, dairy, refined sugars, and alcohol
  • Engage in stress-reducing activities – yoga or any type of exercise is a great start.

In the best cases, pimples simply cause annoyance. Worse case, they can cause pain, scarring, anxiety, and even depression. For those who struggle with chronic acne, remaining patient and consistent in skincare is important.

If you notice your acne condition worsening over time even while following many of the suggestions above, it may be time to visit a professional dermatologist. Treatment options are available! Consult a dermatologist for the best advice regarding your situation. Our dermatologists have successfully treated hundreds of patients for acne and other skin ailments. Contact our office for an appointment.

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What Sunscreen Would You Recommend, Dr. Gurgen?

It is important to protect your skin against the sun’s damaging UV rays. Often, the use of sunscreen is neglected when the weather begins to cool. However, this is a critical part of skincare regardless of the temperature outdoors. It is still possible for skin to burn during the winter and fall months.

But which sunscreen should you choose? Dr. Gurgen has been reluctant to “market” skincare products at our practice. However, so many patients have questioned Dr. Gurgen and our staff, wanting a professional opinion regarding the best sunscreen. Many of those who have asked for a recommendation are skin cancer patients. Because of this, we now have EltaMD sunscreen products available at our dermatology offices in The Villages and Leesburg.

Not only is the EltaMD sunscreen a favorite among our office professionals, but it is the #1 dermatologist-recommended professional sunscreen brand. It is trusted by many experts in the field of skincare. This product is formulated to protect, renew and heal a variety of skin types.

EltaMD UV Pure Broad-Spectrum

“This is the product that my family uses when we are enjoying a day in the sun” – Dr. Gurgen.

EltaMD offers a comprehensive line of zinc-based sunscreens for different needs. They consider a variety of conditions, lifestyles, and skin types when formulating their products. The product is noncomedogenic. Meaning, this sunscreen will not clog your pores, keeping your skin free from breakouts. In addition, their products are free of parabens, fragrances, oils, dye, and gluten. It is also sensitivity-free. This allows a large audience of our dermatology patients to use EltaMD sunscreen without complications.

This broad-spectrum SPF is not only valuable for adults but is suitable for children as well. Its gentle formula can be applied to wet or dry skin and rubs in quickly. There is no need to struggle to get every last water drop off you or your children when reapplying at the beach or pool. Additionally, it is water-resistant for up to 80 minutes. It is great for working in the yard or outdoor workouts because of this feature.

EltaMD UV Pure Broad-Spectrum has an SPF of 47. It is relevant for all skin types due to its pure formula and the absence of harmful substances. It is the ideal daily sunscreen, whether that be for a walk around the block or a fun beach day.

Packing 5 different sunscreens to meet the needs of the whole family is no longer necessary.  This sunscreen is a gentle, lightweight product safe and easy to use for everyone!

Ingredients:

  • Zinc Oxide: This compound is a natural mineral. It is an effective ingredient in sunscreen because it reflects UVA and UBV rays.
  • Ascorbyl Palmitate (Vitamin C ester): EltaMD is formulated with this antioxidant to help diminish visible signs of aging. It works by reducing free radicals, which are molecules damaging the skin cells.
  • Titanium Dioxide: Like Zinc, this natural mineral also works as a sunscreen agent. It helps to scatter and deflect against UV radiation.

About The EltaMD Company:

Before EltaMD introduced its line of sunscreens, it was known for its wound care and healing products. It was originally used among farmers in Switzerland, and then made its way to the United States in 1988. By 2007, the trusted skincare product expanded with a line of sunscreens relevant for many lifestyles. The mission and commitment of EltaMD is to not only provide great products but give communities the innovation and technology to enjoy the sun safely.

The Sun Bus is a mobile skin cancer screening and safety education program. EltaMD partners with others to provide this service and offer life-saving cancer screenings.

The Importance of Regular Skin Exams

Wearing sunscreen is important, but it is not a guarantee against skin cancer. That is why it is important to have your skin checked at least once a year, and more often if you have had issues in the past. Contact our office today to schedule your annual skin exam in the new year!

 

 

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How Important Are Annual Skin Exams?

Annual Skin Exam

Did you know that skin cancer is the MOST COMMON type of cancer in the United States? Here’s what we know… annual skin exams with your dermatologist can detect skin cancer early when it is most treatable, and even avoid the development of skin cancer. Pre-cancerous lesions, when identified at annual skin exams, can be treated or removed before they develop into skin cancer.

Who is most vulnerable to skin cancer?

Fair skinned people, those with blonde or red hair and/or light colored eyes are typically the most susceptible to the damaging effects of the sun. But even if you have darker skin, if anyone in your family has had melanoma or unusual moles you could also be at risk. Another group that may be at a higher risk of skin cancer than the average public are people who have experienced multiple sun burns or have used tanning beds. Finally, if you have a suspicious looking mole or more than 50 moles, that would be a reason for concern.

How Often Should You Get a Full Body Skin Exam?

Regardless of your history or time in the sun, you should get a full body skin exam at least once a year. If you have a history of skin cancer, your dermatologist will probably want to see you at least every 6 months.

At What Age Should You Start Getting Screened for Skin Cancer?

Depending on the amount of time you spend in the sun, you should start getting checked in your twenties or thirties. If you work outdoors, or spend a lot of your recreational time in the sun, you should start getting skin checks in your early twenties.

What is Melanoma Screening?

A melanoma screening is a head-to-toe professional exam, conducted by a dermatologist. Areas like your fingers and toes (including fingernail and toenail beds) as well as your scalp will be examined. Your dermatologist will look for suspicious lesions that could be signs of early skin cancer or pre-cancerous conditions.

What Should I Expect at My Annual Skin Exam?

At your annual screening, your dermatologist will take a good look at your skin from head to toe. Any unusual spots would be further examined and noted. Photos may be taken for future comparison. Sometimes, suspicious or pre-cancerous spots may be frozen. By freezing the skin, a blister is created underneath the lesion. Ideally, as the new skin forms underneath the blister, the abnormal skin on top of the blister peels off. Occasionally, the lesion may be biopsied and sent to a lab for testing.

How Often Should You See a Dermatologist?

You should see your dermatologist for a regular skin exam once a year, or as directed by your dermatologist.

Is Skin Cancer Screening Considered Preventive Care?

Skin cancer screening is absolutely a type of preventive care. Regular exams can detect lesions that are pre-cancerous so they can be treated or removed as needed. Regular exams also help to identify dangerous melanoma early, before it has had a chance to spread and while it is at its most treatable stages.

For more information on an annual skin exam, make an appointment today with our dermatology clinic in The Villages or Leesburg, FL. We offer years of experience and the latest treatments for skin cancer and pre-cancerous lesions.

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How to Get Rid of Peeling Skin on the Face

Peeling Skin of the face can result in feelings of insecurity, and in many cases is also incredibly uncomfortable. Skin conditions that commonly cause the face to peel are eczema and psoriasis. Certain external conditions can also cause the body’s skin to peel more than normal. These situations include fluctuating humidity, hot showers and cold air, which are more common during winter months.

Trying to “cover up” peeling skin might be the first reaction for those who wear makeup. However, makeup can actually aggravate peeling skin and often make it considerably worse. Understandably, it is difficult to be patient while waiting for your skin to improve.

There are a variety of ways to address peeling skin that include medications and home remedies. Medications typically address healing, whereas home remedies are more often preventative. Home remedies and medications can be used in tandem with one another for the greatest benefit. Below are tips to improve this condition.

Home Remedies

  • It is important to remember that covering up peeling skin with makeup will only exaggerate the problem. And, in most cases, it will not make the peeling any less noticeable.
  • Fragrance soaps and cleansers are known to dry out the skin. Opting for a fragrance-free or mild cleaner can be beneficial.
  • Products that contain alcohol should be avoided. Deodorant soaps and antibacterial soaps are just a few examples of products that should not be used on the face due to their drying effect.
  • Apply moisturizer after cleansing your face to replenish the skin’s moisture and provide favorable effects.
  • Rough towels can actually damage your skin. With that being said, use soft towels especially when drying your face.
  • You may have heard that hot showers are best because they open the pores. However, hot showers can also dry out your skin. Lukewarm to warm showers are best if you are prone to peeling.
  • Scrubbing or rubbing your face can create unnecessary irritation. To preserve the skin’s smooth texture, you should gently wash and then pat your face dry instead of wiping or rubbing.
  • Exfoliating your face can help eliminate peeling skin, but only if done the right way. Avoid alpha hydroxy acids, alcohol, or perfume in any products used. Use lukewarm water and a soft washcloth and gently rub to loosen any flaking skin. Never peel your skin, especially when it’s wet.
  • Topical anti-inflammatory agents like aloe vera can help your skin heal, especially after a sunburn.

Medical Treatments

An underlying health condition may be causing your skin to peel. Adjustments to current treatments or simply starting treatment for the underlying cause may be the first step. In addition, a dermatologist may administer a number of medications or treatments for peeling skin. These may include doxycycline, chemical peels, or prescription corticosteroid creams, to name a few.

Causes for Peeling Skin

The most common skin condition that causes skin to peel is simply dry skin. However, there are many other potential causes.

  • Sunburn: This is an inflammatory reaction to ultraviolet radiation damage to the skin’s outermost layers. It is the most obvious sign that you may have spent too much time in the sun and that damage to the skin has occurred. Sunburns typically appear red and inflamed. Most of the time, they are also painful. The skin’s common reaction to a sunburn is to peel or flake in order to expose new, fresh skin.
  • Medications: Certain medications can cause peeling skin including penicillin, various topical medications, seizure medications, and blood pressure medications.
  • Seborrheic dermatitis: This is a common skin condition that produces an itchy rash along with flaky scales. It is commonly known as dandruff or cradle cap. It most commonly appears on the scalp, but can also present on the face.
  • Eczema: This is a condition where the skin becomes inflamed, itchy, rough, and sometimes cracked or blistered. These red and brown scaly patches typically present themselves in areas behind the elbows, knees, and neck. However it is not uncommon for eczema to result in facial peeling.
  • Psoriasis: This skin disease can be quite painful for the individual. It appears in white, scaly patches that can become red and peel.
  • Hypothyroidism: This is a condition in which your thyroid gland does not produce enough hormones. In the early stages of hypothyroidism, the person may not even notice the symptoms. Ultimately it can result in fatigue, weight gain, peeling skin, and thinning hair.
  • Rosacea: An increase in redness and/or visible blood vessels on your face, may indicate a condition known as Rosacea.
  • Allergic Reaction: Often people are not totally aware of their allergies, because the body can develop new sensitivities over time. It is also common to experience a reaction to a new product, like a moisturizer or foundation, resulting in irritated and/or peeling skin.
  • Niacin Deficiency and Vitamin A toxicity: These are both nutritional conditions that can lead to peeling skin on the face.
  • Peeling Skin Syndrome: This is a rare, inherited skin disorder where the normal skin peeling process is hastened. In this case, the skin becomes red and patchy before peeling.

Peeling skin can be part of the body’s natural process. However, peeling should only be a temporary symptom lasting 7 days or less. If peeling continues beyond this timeline, we recommend a visit to your dermatologist. Other concerning symptoms include fever and chills, nausea, dizziness, confusion, continuous bleeding or oozing yellow fluid. Any of these symptoms in conjunction with peeling skin could be an indication of a more serious condition and should be addressed by a professional.

It is important for people of all ages to perform regular self-checks as well as visit a professional dermatologist regularly. If you notice excessive peeling on the face or just want to come in for an annual checkup, schedule an appointment with Dr. Gurgen in the Villages or Leesburg, Florida.

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Treating Acne Under Special Circumstances Including Pregnancy

We’ve all had occasional pimples throughout our lives, but not everyone has experienced severe acne. Oftentimes, pimples and acne alike can cause annoyance and embarrassment. Although this skin condition is most prevalent among the younger, teen generation, it can affect people of all ages.

Symptoms of acne include the appearance of whiteheads, blackheads, papules, pimples, nodules, and cystic lesions. Common areas for acne development are on the face, chest, forehead, and upper back, and shoulders. This is because these areas have the most abundant amount of sebaceous or oil glands.

Acne forms when your hair follicles become clogged with oil and dead skin. Other causes include excess oil, bacteria, and inflammation. Certain triggers aggravate acne, causing your condition to worsen. These triggers include hormonal changes, certain medications, diets, and elevated stress.

Hormonal changes are particularly relevant among women, including flare-ups before menstruation. Puberty also plays an important role in the increase of androgen hormones, leading to breakouts. Drugs containing corticosteroids, testosterone, or lithium are known to provoke acne. Additionally, research has proven the role particular diets have on our skin. Foods high in carbohydrates and sugar can often worsen your condition.

As many people are aware, stress takes a toll on the human body in a variety of ways. The skin is a major component affected by high stress, especially if the acne was already present. There are a variety of methods for treating acne. It is usually helpful to begin with at-home remedies. If the condition does not seem to subside, visiting a dermatologist and gaining a professional perspective would be advised.

The treatments vary depending on the severity of your condition. Other critical determinants that would affect the appropriate treatment include the possibility of pregnancy or other dramatic hormone changes. Oftentimes, expecting mothers struggle more with acne due to hormonal changes within the body.

If the patient is pregnant there are other considerations. A dermatologist can provide pregnant women advice on whether or not they should even seek treatment and how to go about it. Below is a list of treatments that are generally considered safe to use even when pregnant.

  • Glycolic Acid: This method is used to help exfoliate the skin and unclog the pores from excess oil and dead skin. It is important to start slow because it may cause irritation.
  • Benzoyl Peroxide: Because this medication has not been fully studied on pregnant women, it is considered a Category C drug by the FDA. However, many physicians still recommend and prescribe this drug as it is considered safe to use. At the same time, it is meaningful to weigh the pros and cons to determine if it’s the right choice for you. Your dermatologist can help.
  • Erythromycin: This prescription medication is an antibiotic, often given alongside other forms of acne treatment. It is intended to reduce the presence of acne-causing bacteria with an anti-inflammatory motive.
  • Acne Treatment Facials: This option does not include the use of any medication. Instead, it applies the professional skills of an esthetician to perform a facial. During this time, your skin will be deeply cleansed and exfoliated. Informing your esthetician of your pregnancy is still essential.
  • Azelaic Acid: This medication was initially designed to treat a condition known as rosacea but has also shown to be valuable to patients suffering from acne. It is intended to help with hyperpigmentation. Azelaic Acid is a topical medication, meaning that it is applied directly to the skin’s surface.
  • Clindamycin: This antibiotic is also applied to the skin as a topical treatment. A benefit of utilizing his medication is its ability to be used in conjunction with other drugs. It is also a lower-cost alternative relative to other options.

There are certain medications that a pregnant woman should avoid. These include Accutane, topical retinoids, and tetracycline. Accutane, otherwise known as, isotretinoin has been shown to produce birth defects in babies whose mothers used it while expecting. Studies have also revealed the prevalence of miscarriages related to the drug. The application of topical retinoids should not only be avoided during pregnancy but also while breastfeeding. The effects of this drug on a developing fetus have not been studied comprehensively. Lastly, Tetracycline is known to interfere with the development of a fetus’s bones. It may also cause teeth discoloration in the fetus.

If you or someone you know is suffering from acne and there are extenuating circumstances like a pregnancy; treatment options are available! Consult a dermatologist for the best advice for the situation. Our dermatologists have successfully treated hundreds of patients for acne and other skin ailments. Contact us for an appointment.

 

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New Year’s Resolution- Take Better Care of Your Skin

As the holiday season comes to an end, many of us consider numerous New Year’s resolutions. It is natural to want to improve our lives and make every year better than the last. Many times, we tend to abandon these ambitions when life becomes hectic and overwhelming. However, this should not stop us from trying to strive for a better version of ourselves. When contemplating which New Year’s resolution you wish to tackle this year, one should consider a healthier skincare routine. Maintaining healthy skin is not only influential for an individual’s physical appearance but is also important for many body functions. Below is a list of tips to help you reach your skincare resolution and acquire that clearer, softer, and more youthful-looking skin.

  1. Protect Your Skin from the Sun—It is crucial to invest in lotions containing sunscreen. Some people trust that only wearing sunscreen on our bodies will suffice. However, it is important to apply sunscreen to our faces. This tip applies to our daily lives, not just when we plan to spend long days at the beach or park with a great amount of UV exposure. Many daily moisturizers contain a small level of SPF for everyday application.
  2. Wash Your Face— It is imperative to wash your face before you go to bed. This tip is particularly relevant for women who wear makeup. Sleeping with makeup clogs our pores which causes breakouts and dry skin, leading to premature wrinkles. Your skin regenerates while you sleep, so practicing a consistent skincare regimen is important.
  3. Stay Hydrated—Drinking plenty of water and herbal drinks can have exceptional results on your skin. You may notice your skin becoming itchy, flaky, or red when you are dehydrated. Skin that lacks hydration can cause shrinkage of skin cells and loss of elasticity. This results in rough-feeling skin and exaggerated wrinkles and fine lines. Staying hydrated is one of the most important aspects of healthy skin and appearance. Try keeping a bottle of water with you at all times. Even if you do not consider yourself a major “water-drinker”, attempt other flavor techniques such as adding fruit slices.
  4. Healthy diet—As I am sure dieting may already be on many people’s New Year’s resolutions; a healthy diet proposes more than just one benefit. Improved skin might be that extra motivation you need to not fall back into comfortable eating habits. Healthy fats, fruits, veggies, and select proteins are essential elements for great skin. A poor diet, on the other hand, can cause breakouts or dull-looking skin.
  5. Exercise—This is another tip that you may already be planning to indulge in with the coming New Year. Exercise gets the heart rate up and therefore improves blood circulation. This process delivers oxygen and nutrients to the skin.
  6. Sleep—engaging in a sufficient sleep schedule can help manage healthy skin believe it or not. Blood flow increases while you sleep, allowing for rejuvenation, damage repair, and collagen build-up. 7-8 hours of sleep is suggested. Not only can this act reduce the dark circles underneath your eyes but can also reduce your stress levels.
  7. Manage Stress Levels—As stated in the previous tip, sleep acts as an aid for minimizing our stress levels. However, there are other activities one can entertain to manage their stress. It is important to make time for hobbies and set aside time for things that you enjoy doing. Your relaxed hobby may include playing golf, doing an art project, reading, playing card games, or even simply watching a movie.
  8. Stop Smoking—Tobacco contains thousands of chemicals that are harmful to the collagen and elasticity of your skin. These fibers give your skin the strength it needs to maintain its health and avoid premature aging.
  9. Be Gentle with Your Skin—Many individuals believe that harsh peels and foaming washes are the best things for your skin. You may think that if the product hurts, it must be working. However, this is not the case. With that being said, avoid irritants, chemicals, and drying ingredients. Additionally, do not over-exfoliate or over-wash your skin. Try not to excessively rub or pick at blemishes. This can cause wrinkles and sometimes even scarring.
  10. Throw Out Old Products—Many of us hoard products with the intention of eventually using them. This is often not the case as our medicine cabinets and makeup bags fill with expired items. Hanging on to these beauty products is not doing your skin any favors and could be the root of your skin problems.
  11. Adapt to Your Skin’s Needs—Everyone’s skin is different and requires different regimens. Have you reevaluated your particular needs recently? A skincare routine you adopted in your adolescent years may not be the best method now. The products that kept your skin healthy-looking and fresh in the past may not be as effective on aged skin. Age is not the only factor one should consider when evaluating their skincare practice. It may even be necessary to adapt to the current season as certain times of the year calls for dryer skin.
  12. Perform Self Checks—Regular skin self-exams are especially important. Individuals with low immunity or who have a high risk for cancer should make this tip a priority. Early detection of skin cancer or other abnormalities can reduce the amount of damage to your skin. Get to know your body and the pattern of moles, freckles, blemishes, or other marks on your skin.
  13. Visit a dermatologist—Lastly, it is crucial to see a health care provider annually regarding your skin’s health. Although self-exams are beneficial, we are sometimes not able to detect certain irregularities. This may be due to the location or just a lack of education. A dermatologist can provide you with this confidence and peace of mind. They are experts in detecting skin cancers early on and can also discuss preventative strategies as well as personalized skincare recommendations. If you haven’t been to the dermatologist in over a year, it is time to schedule an appointment!  Dr. Gurgen is a dermatologist in The Villages and Leesburg, Florida, specializing in skin care treatment and Mohs Surgery. If you notice changes to your skin or if it is time for your annual skin check, contact our office for an appointment.
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Myths About the Sun & Your Skin

Spending numerous hours in the sun is an activity that many of us enjoy. However, the rates of melanoma cases are increasing, so it is important to keep in mind the truth about the sun. Choosing to educate ourselves on the greatest myths involving the sun may potentially help avoid serious skin damage and maybe even cases of skin cancer. Below are 8 common myths associated with the sun.

‘When it is hottest outdoors, the sun is the strongest’

Many individuals believe UV rays and heat to be the same thing. However, these components are delivered to the earth in entirely different proportions. Heat is administered through infrared rays, which do not cause harm to the human skin. UV rays, which are located on the opposite side of the electromagnetic spectrum are what provoke skin damage. In this case, it is safe to say that temperature does not determine the level of risk of sunburn.

UV Rays pose the greatest risk to our skin when the sun is highest in the sky. This takes effect in the middle of the day from 10 A.M. to 4 P.M. Even though UV Rays are strongest in the summer and spring months, it is important to take proper precautions during winter days as well.  Even though damaging UV rays cannot be felt, they are still present on cold days.

Recognizing and understanding the difference between UV rays and heat is important to protect yourself against the harsh UV index and the times of day when you are at greater risk. 

‘You can only burn during summertime’

As previously stated, the heat generated from the sun is not a direct correlation to the level of UV your skin is receiving. Due to this, it is important to check your local weather forecast to determine the UV index. This indicates the strength of the sun during particular times of the day. Generally, the UV index is greatest during summer months, but winter months have shown dangerous levels. If the UV index is 3 or above, it is important to use sunblock protection.

‘Occasional sunburns don’t make much of a difference’

Many people believe that getting a sunburn every so often poses no great risk. However, statistics show that your risk of melanoma can triple with only two sunburns a year. Although getting a sunburn does not mean that you will get skin cancer, it is significant to understand the increased risk.

‘Sun damage always appears red in color and peels’

For individuals with fair skin, the presence of sunburned skin is more obvious. Generally, a sunburn appears red or pink. However, this is more difficult to see with tan or dark skin. Other symptoms that typically accompany a sunburn are itchy, tender, or irritated skin.

‘Sunscreen higher in SPF is better than lower SPF’

Sunscreen with SPF 15 and higher have been shown to reduce an individual’s risk of melanoma. However, discrepancies still lie among sunscreens that offer a higher SPF. High SPF products may pose greater health risks as they require a higher concentration of sun-filtering chemicals than lower SPF products. When applied, these chemicals penetrate the skin and have been linked to hormone disruption and tissue damage. Additionally, individuals who choose to apply a higher SPF tend to spend more extended time in the sun. 

‘Applying sunscreen one time is enough’

It is vital to know that applying sunscreen a single time is not enough. Over time sunscreen can rub off through contact with water or even sweat. There is a good chance you missed certain areas of your body the first time you applied sunscreen, so applying multiple times is essential for this reason. With that being said, when it comes to sunscreen- don’t be shy!

‘Sunscreen doesn’t expire’

Sunscreen products do expire. Many brands offer expiration dates, while others provide the number of months the product should be used after opening. Generally, this factor is not usually considered when getting ready for a day in the sun. However, just like many other cosmetics, sunscreen can go bad and should be kept in a cool environment.

‘You can’t get sun damage through glass’

Believe it or not – sitting in your vehicle or close to a window with direct sunlight has the potential to cause damage to your skin. In this case, it is beneficial to protect your skin by wearing clothes or sunblock.

It is essential to perform skin checks on yourself regularly and visit a professional at least once a year. Dr. Gurgen is a dermatologist in The Villages and Leesburg, Florida, specializing in skin care treatment and Mohs Surgery. If you notice changes to your skin or if it is time for your annual skin check, contact our office for an appointment.

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Types and Treatments for Psoriasis

Are you experiencing bumpy red patches with white scales on your skin? A skin condition known as Psoriasis effects many individuals today ranging in type and severity. This disorder is caused by the body’s over production of skin cells and the inability to shed normally. The good news is that there are several effective treatments for psoriasis. Unfortunately, this complication is the result of an over active immune system and can cause irritation and itchiness.

Types of Psoriasis

  1. Plaque Psoriasis: Often times, physicians mistakenly diagnose Plaque Psoriasis as dermatitis or eczema because of its red and scaly appearance. It is the most common form of psoriasis as 90% of the individuals diagnosed with this condition suffer from this type. Although this disorder can appear all over the body, it is commonly noticed in areas such as the elbows, knees, lower back and scalp.
  2. Erythrodermic Psoriasis: Despite the fact that Erythrodermic Psoriasis is rare, it still disturbs the life of 3% of those with psoriasis. This bright red rash is considerably more aggressive than other types and spreads quickly. Because of the fact that it can spread to over 60% of the body and is typically accompanied by chills or a fever, it is critical to see a physician immediately. This case of psoriasis could be considered a medical emergency.
  3. Guttate Psoriasis: This type of psoriasis is not as common as plaque psoriasis but is considered the second most common type. It reveals itself as small, red, and scaly droplet-shaped patches. It is typically seen in areas on the chest, back, arms and legs. Streptococcus (strep throat), a bacterial infection, is the common cause of a Guttate outbreak.
  4. Inverse Psoriasis: As its name would suggest, Inverse Psoriasis occurs in the skin folds of the body. These areas would include under the arms, in the groin, or even under the breast. This condition tends to be very painful and manifests itself as flat red patches. Generally, yeast is also present.
  5. Pustular Psoriasis: The name given to this disorder also gives insight on the nature of it. The word pustule represents a small blister that contains pus. Pustular Psoriasis commonly appears on the palms of the hand and soles of the feet as little blisters filled with fluid. This form of psoriasis can potentially be disabling due to its location and is the hardest to treat.
  6. Psoriatic Arthritis: This type of arthritis only occurs in individuals with psoriasis. It causes pain and swelling in joints. Every case of Psoriatic Arthritis is different, ranging from slow development with mild symptoms to more severe cases that develop quickly. In more serious cases, an individual may experience increased difficulty to perform common, every day activities.  Some people suffering with this disorder may experience periods of remission, but it is important to remain aware and to visit a dermatologist when symptoms emerge. A small number of individuals will experience joint pain before skin abnormalizes. If left untreated or unidentified for some time, joint changes may be permanent.

Psoriasis Treatments

There are several treatments for Psoriasis available.

Topical Therapy: The two types of Topical treatments include steroidal creams and nonsteroidal creams. Steroidal creams contain a drug known as cortisone that works towards reducing the swelling and inflammation of the body. Physicians instruct their patients in ways to prevent damaging the skin. Failing to follow direction could result in stretch marks, easily bruised skin, or thinning of the skin. Over the counter, non-steroidal medications include tar and salicylic acid. Both of these products are proficient in either reducing the growth of cells or shed scales on the skin. To increase the effectiveness of these drugs, they are sometimes prescribed with the addition of other topical therapies. Other medications that aid in the removal of scales and work towards flattening lesions are topical retinoids and vitamin D products. This type of treatment is offered through a variety of forms such as lotion, gel, foam, spray, ointment and cream. Typically, lotion and foams provide patients an easier application of the product.

Phototherapy: This procedure is effective in reducing the skin’s cell growth. It works through the use of light treatments that are usually administered in doctor’s offices. However, occasionally, a physician will allow usage of the unit at the patient’s home. The first type of light, Broadband UVB, is composed of 290-320 nanometers of wavelength. Because a common side effect of phototherapy is a sunburn reaction, this type of treatment is conducted through shorter treatment times. A more modern UVB treatment is known as Narrowband, which is composed of 311-312 nanometers of wavelength. With this newer type of treatment, patients are able to experience longer remission times and tend to have less sunburn type reactions.

PUVA, an alternative kind of phototherapy, exercises the use of medication alongside UVA light. Oxsoralen is the prescribed medication that should be taken as a capsule 90 minutes before the light therapy. This type of therapy poses a risk for developing a multitude of side effects such as headaches, burning, itching, nausea, vomiting, dizziness. The chance on developing skin cancer also increases.

If the psoriasis covers less than 10 percent of the body’s skin, an alternative form of treatment is an option. Pharos excimer laser is a unique treatment because of its ability to concentrate on localized areas of the body. It applies a NB UVB light to these regions. Comparable to the side effects of other therapies, it also causes itchiness, dry skin, and poses as an increased risk for skin cancer.

Medications: There are a variety of medications available for patients suffering with Psoriasis. If a physician notices that the use of topical treatments or light therapies have become ineffective, they may prescribe an oral medication. Methotrexate and Acitretin are the most common systemic oral medications implemented today. Although this kind of remedy requires numerous office visits and a continued commitment of the patient, it holds the greatest success rate.

  • Methotrexate: This is one of the original treatments for psoriasis dating back to the 70’s. Methotrexate is filtered through the liver and affects the immune system by preventing the rapid turnover of skin cells. Because of its effect on the liver, it is important for patients to undergo a liver biopsy to determine if it is the right treatment for them. Patients not advised to receive this medication include people with a history with alcohol abuse or renal, hepatic or other hematological irregularities. Methotrexate is frequently used in combination with light therapy, but the two should not be administered within 48-72 hours of each other. This drug can cause patients to become hypersensitive to light. Therefore, it is crucial to be cautious and monitor the body.
  • Acitretin: Also known as Soriatane, this drug is derived from vitamin A and works to control cell growth and produce shedding. Just like Methotrexate, Soriatane also discourages its use for particular individuals such as women in their child bearing ages and individuals suffering from depression. However, it is very effective in men and women of non-childing bearing potential. It is also advised for the physician to administer blood tests to monitor cholesterol and triglycerides due to the fact that the drug can affect lipid levels. Long term use of this kind of therapy also calls for bone density scans or x-rays.

Biologic Drugs: Biologic drugs control the growth of cells by blocking specific immune cells. In contrast to other treatments, this type of drug works through the injection and infusion of proteins, rather than chemicals. Because this medication was developed fairly recently, the long-term effects are unfamiliar to physicians currently. However, they do not display very many side effects. The value in using biologic drugs is its ability to target a specific area of the immune system, without imposing on the rest. Every individual receiving this type of treatment will get an individualized strategy depending on their situation. Additionally, it accommodates individuals and gives them the convivence of performing the injection at home.

Get Help

Dr. Gurgen offers proven, powerful treatment techniques that reduce pain associated with psoriasis and encourage your body’s overall health. Schedule an appointment today.